<?php if (!defined('THINK_PATH')) exit(); /*a:4:{s:66:"G:\coupon\public/../application/admin\view\coupons\clinic\add.html";i:1703122394;s:52:"G:\coupon\application\admin\view\layout\default.html";i:1689043529;s:49:"G:\coupon\application\admin\view\common\meta.html";i:1689043529;s:51:"G:\coupon\application\admin\view\common\script.html";i:1689043529;}*/ ?>
<!DOCTYPE html>
<html>
    <head>
        <meta charset="utf-8">
<title><?php echo (isset($title) && ($title !== '')?$title:''); ?></title>
<meta name="viewport" content="width=device-width, initial-scale=1.0, user-scalable=no">
<meta name="renderer" content="webkit">
<meta name="referrer" content="never">
<meta name="robots" content="noindex, nofollow">

<link rel="shortcut icon" href="/assets/img/favicon.ico" />
<!-- Loading Bootstrap -->
<link href="/assets/css/backend<?php echo \think\Config::get('app_debug')?'':'.min'; ?>.css?v=<?php echo \think\Config::get('site.version'); ?>" rel="stylesheet">

<?php if(\think\Config::get('fastadmin.adminskin')): ?>
<link href="/assets/css/skins/<?php echo \think\Config::get('fastadmin.adminskin'); ?>.css?v=<?php echo \think\Config::get('site.version'); ?>" rel="stylesheet">
<?php endif; ?>

<!-- HTML5 shim, for IE6-8 support of HTML5 elements. All other JS at the end of file. -->
<!--[if lt IE 9]>
  <script src="/assets/js/html5shiv.js"></script>
  <script src="/assets/js/respond.min.js"></script>
<![endif]-->
<script type="text/javascript">
    var require = {
        config:  <?php echo json_encode($config); ?>
    };
</script>

    </head>

    <body class="inside-header inside-aside <?php echo defined('IS_DIALOG') && IS_DIALOG ? 'is-dialog' : ''; ?>">
        <div id="main" role="main">
            <div class="tab-content tab-addtabs">
                <div id="content">
                    <div class="row">
                        <div class="col-xs-12 col-sm-12 col-md-12 col-lg-12">
                            <section class="content-header hide">
                                <h1>
                                    <?php echo __('Dashboard'); ?>
                                    <small><?php echo __('Control panel'); ?></small>
                                </h1>
                            </section>
                            <?php if(!IS_DIALOG && !\think\Config::get('fastadmin.multiplenav') && \think\Config::get('fastadmin.breadcrumb')): ?>
                            <!-- RIBBON -->
                            <div id="ribbon">
                                <ol class="breadcrumb pull-left">
                                    <?php if($auth->check('dashboard')): ?>
                                    <li><a href="dashboard" class="addtabsit"><i class="fa fa-dashboard"></i> <?php echo __('Dashboard'); ?></a></li>
                                    <?php endif; ?>
                                </ol>
                                <ol class="breadcrumb pull-right">
                                    <?php foreach($breadcrumb as $vo): ?>
                                    <li><a href="javascript:;" data-url="<?php echo $vo['url']; ?>"><?php echo $vo['title']; ?></a></li>
                                    <?php endforeach; ?>
                                </ol>
                            </div>
                            <!-- END RIBBON -->
                            <?php endif; ?>
                            <div class="content">
                                <form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Nametext'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Address'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
           <div class="form-inline" data-toggle="cxselect" data-selects="province,city,area">
                <select class="province form-control" name="row[province]" data-url="ajax/area"></select>
                <select class="city form-control" name="row[city]" data-url="ajax/area"></select>
                <select class="area form-control" name="row[area]" data-url="ajax/area"></select>
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Addresstext'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
          <div class="input-group">
                <input id="c-addresstext" data-rule="required" class="form-control" name="row[addresstext]" type="text" value="">
                <span  class="input-group-btn" style=" padding:0 10px; border:1px solid #ccc; border-left:none; font-size:14px; cursor:pointer; background:#f7f7f7 " data-toggle="addresspicker">
                    地图查询经纬度
              </span>
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Longitudetext'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-longitudetext" data-rule=""  data-toggle="addresspicker" class="form-control" name="row[longitudetext]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Latitudetext'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-latitudetext" data-rule=""  data-toggle="addresspicker" class="form-control" name="row[latitudetext]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Phonetext'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-phonetext" data-rule="required" class="form-control" name="row[phonetext]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Logoavatar'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-logoavatar" data-rule="" class="form-control" size="50" name="row[logoavatar]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-logoavatar" class="btn btn-danger faupload" data-input-id="c-logoavatar" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-logoavatar"><i class="fa fa-upload"></i> <?php echo __('Upload'); ?></button></span>
                    <span><button type="button" id="fachoose-logoavatar" class="btn btn-primary fachoose" data-input-id="c-logoavatar" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> <?php echo __('Choose'); ?></button></span>
                </div>
                <span class="msg-box n-right" for="c-logoavatar"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-logoavatar"></ul>
        </div>
    </div>
    
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Coverpicimages'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-coverpicimages" data-rule="" class="form-control" size="50" name="row[coverpicimages]" type="text" value="">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="faupload-coverpicimages" class="btn btn-danger faupload" data-input-id="c-coverpicimages" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-coverpicimages"><i class="fa fa-upload"></i> <?php echo __('Upload'); ?></button></span>
                    <span><button type="button" id="fachoose-coverpicimages" class="btn btn-primary fachoose" data-input-id="c-coverpicimages" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> <?php echo __('Choose'); ?></button></span>
                </div>
                <span class="msg-box n-right" for="c-coverpicimages"></span>
            </div>
            <ul class="row list-inline faupload-preview" id="p-coverpicimages"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('Group_ids'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-group_ids" data-rule="" data-source="user/group/index" data-multiple="true" class="form-control selectpage" name="row[group_ids]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2"><?php echo __('User_id'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-user_id" data-rule="" data-source="user/user/index" data-field="nickname" class="form-control selectpage" name="row[user_id]" type="text" value="">
        </div>
    </div>
    <!-- <div class="form-group">-->
    <!--    <label class="control-label col-xs-12 col-sm-2"><?php echo __('User_password'); ?>:</label>-->
    <!--    <div class="col-xs-12 col-sm-8">-->
    <!--        <input id="c-User_password" data-rule="" class="form-control" name="row[User_password]" type="text" value="123456">-->
    <!--    </div>-->
    <!--</div>-->
    <!--<div class="form-group">-->
    <!--    <label class="control-label col-xs-12 col-sm-2"><?php echo __('Qrcodeimage'); ?>:</label>-->
    <!--    <div class="col-xs-12 col-sm-8">-->
    <!--        <div class="input-group">-->
    <!--            <input id="c-qrcodeimage" data-rule="" class="form-control" size="50" name="row[qrcodeimage]" type="text" value="">-->
    <!--            <div class="input-group-addon no-border no-padding">-->
    <!--                <span><button type="button" id="faupload-qrcodeimage" class="btn btn-danger faupload" data-input-id="c-qrcodeimage" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="false" data-preview-id="p-qrcodeimage"><i class="fa fa-upload"></i> <?php echo __('Upload'); ?></button></span>-->
    <!--                <span><button type="button" id="fachoose-qrcodeimage" class="btn btn-primary fachoose" data-input-id="c-qrcodeimage" data-mimetype="image/*" data-multiple="false"><i class="fa fa-list"></i> <?php echo __('Choose'); ?></button></span>-->
    <!--            </div>-->
    <!--            <span class="msg-box n-right" for="c-qrcodeimage"></span> -->
    <!--        </div>-->
    <!--        <ul class="row list-inline faupload-preview" id="p-qrcodeimage"></ul>-->
    <!--    </div>-->
    <!--</div>-->
     <div class="form-group">
            <label class="control-label col-xs-12 col-sm-2"><?php echo __('Weigh'); ?>:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-weigh" data-rule="" class="form-control" name="row[weigh]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled"><?php echo __('OK'); ?></button>
            <button type="reset" class="btn btn-default btn-embossed"><?php echo __('Reset'); ?></button>
        </div>
    </div>
</form>
                            </div>
                        </div>
                    </div>
                </div>
            </div>
        </div>
        <script src="/assets/js/require<?php echo \think\Config::get('app_debug')?'':'.min'; ?>.js" data-main="/assets/js/require-backend<?php echo \think\Config::get('app_debug')?'':'.min'; ?>.js?v=<?php echo htmlentities($site['version']); ?>"></script>
    </body>
</html>
